Gynecology

The routine or Well Woman GYN exam is an excellent opportunity for the female patient to receive education and counseling on healthy lifestyle practices and to participate in preventative health screenings.

The flow of the Well Woman GYN exam visit is usually based on a patient’s age, sexual status, and risk factors. Preventative health screenings are offered and include age-appropriate imaging and laboratory testing, screening for substance use, and screening for depression. The Well Woman GYN exam is recommended every year, especially for patients who are prescribed contraception.

Women’s Health Care of Morgantown offers the following GYN services:

Annual Exams

  • Every female needs a yearly gynecology appointment and/or exam, including teenagers that may need only counseling and education, patients whom have already had permanent contraception or even a hysterectomy, or those who have already gone through the menopausal transition.  There are many aspects of a women’s health care that often is not covered by her family physician.
  • Breast screening and imaging
    • One in eight women will develop breast cancer.  With such a high incidence and with the ever-changing screening guidelines, come see us to make sure you are getting the proper care.
  • Cervical screening with pap smears and Gardasil HPV vaccination
    • Cervical cancer is one of the most preventable cancers. We follow the most up to date guidelines for pap smears and colposcopy.  In addition, we offer the HPV vaccine which has became a highly effective way of reducing the chance you will develop abnormal pap smears which may lead to cervical cancer.
  • Contraception:
    • Let us educate you on the many forms of contraception, including oral contraceptive pills, injections, intrauterine devices, Nexplanon, etc.
  • Heavy and irregular menses
    • Are you bothered by your periods? Are your cycles abnormal? Can I or should I do anything about it? Abnormal bleeding can be a sign of a serious health issue. Let us help determine if there is a problem, what is causing it, and offer you treatment to increase your satisfaction.
  • Menopausal care
    • This time of your life can be quite challenging, and bring up many health considerations such as abnormal bleeding, hot flashes, osteoporosis, and continued breast and ovary screening.
  • Pelvic pain or painful menses
    • There are many medical, procedural, or surgical options that may improve or eliminate your discomfort.
  • Infection screening
    • Do you have an acute issue, or do you have recurrent vaginal or urinary tract infections? Our in-house lab or one of our send-out tests can help find your answers.
     

In-Office Procedures

  • Endometrial ablation
    • One of the most effective ways at reducing or eliminating heavy periods is the endometrial ablation. We perform this procedure both in the office and as an outpatient procedure at the hospital. The procedure takes minutes and there is minimal risk or recovery. Why suffer with heavy menses?
  • Colposcopy
    • If you have an abnormal pap smear, we may recommend a colposcopy.  This five minute exam allows us to look closely at your cervix, and often we take a biopsy of your cervix to determine if there are any changes which may lead to cervical cancer without treatment.
  • LEEP (Loop Electrical Excision Procedure)
    • If abnormal cells are discovered on a biopsy collected during colposcopy, a LEEP procedure can both further diagnose and treat the abnormality.  This 5-10 minute procedure is done in the comfort of our office, often with minimal discomfort.
  • Ultrasound procedures
    • Saline Infusion Ultrasound (Sonohysterogram) is a routine pelvic ultrasound during which a small amount of saline is injected by a small syringe through your cervix and into your uterus to give a better image of you uterine cavity to evaluate for abnormal bleeding.
    • FemVue is another procedure performed with ultrasound during which saline and air is instilled through your cervix to give better visualization of your fallopian tubes to see if they are open. If they are not, getting pregnant may be difficult and further treatment may be needed.
  • Biopsies of abnormal moles
  • Incision and drainage of abscesses.

When should my daughter or myself have the initial routine GYN visit?

ACOG recommends the initial GYN visit between ages 13 and 15 years old. It is important to remember that a pelvic exam is not always involved, and will be based on provider discretion and patient presentation.  This visit serves to provide important early screening and counseling regarding body image, menstrual cycles, STI prevention, immunizations (HPV vaccine), and contraception.  It is also an opportunity to establish a patient-provider relationship.

When am I due for my first pap smear? How about a breast exam?

The ACOG and ASCCP recommend pap smear screening and clinical breast exam be started in all women at age 21.


I have Medicare, do I need a full Well Woman GYN exam every year? If I would like an Well Woman GYN exam every year, will it be covered by Medicare?

Medicare covers a routine Well Woman GYN exam every two years for low risk women.  Pap smears are not done after the age of 65, unless you have a recent history of an abnormal pap smear or have had DES exposure.  If you wish to have an Well Woman GYN exam every year, you must complete the Advance Beneficiary Notice (ABN) from Medicare. The ABN form explains that Medicare may not pay for the services you are having. You will be financially responsible for services Medicare does not cover. The link for this form can be found below.

If you need an appointment due to a problem you are having, please call the office. We will be happy to schedule you for an office visit to address your concern.